Granada Hills Convalescent Hospital, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000038 Issued in CA

Legal business name

GRANADA HILLS CONVALESCENT HOSPITAL, INC

Doing business as

Granada Hills Care Center

Practice address

16123 Chatsworth St
Granada Hills, CA 91344

Phone

(818) 891-1745

Fax

(818) 891-1747

NPI assigned

Nov 1, 2006

Last updated

Jun 6, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Goldblatt, NHA

Title

Administrator

Phone

(818) 891-1745

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Granada Hills Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871670083. Details of each certification follow.

• CCN 056168 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056168

Legal name

GRANADA HILLS CONVALESCENT HOSPITAL, INC.

Doing business as

GRANADA HILLS CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1969

Last certification

Oct 3, 2024

Beds

48

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

May 21, 2003 in CA

Enrollment address

16123 Chatsworth St
Granada Hills, CA 91344-7045

Nursing home name

GRANADA HILLS CONVALESCENT

Listed as

Granada Hills ConvalescentCCN 056168 · All quality measures

Overall star rating

5 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 1, 1969

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4838.0 residents per day on average

Penalties (3 years)

1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Reyadh J Michail, M.D

  • Family Medicine Physician
  • Panorama City, CA
  • NPI 1508847831

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Janeth Villarreal, FNP

  • Family Nurse Practitioner
  • Chatsworth, CA
  • NPI 1790264638
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Thomas E Conklin, M.D.

  • Adult Medicine Physician
  • Northridge, CA
  • NPI 1124066436

  Nursing home

  Care Compare affiliation
• William Y Josephson, MD

  • Internal Medicine Physician
  • Northridge, CA
  • NPI 1376647651

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1871670083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16123 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-891-1745",
            "fax_number": "818-891-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16123 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-891-1745",
            "fax_number": "818-891-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS CONVALESCENT HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "GOLDBLATT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-891-1745",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206190349/ZZT06168",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF PUBLIC HEALTH",
            "identifier": "920000038",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT 06168H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granada Hills Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granada City Dental a Professional Corporation
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• Granada Hills Boarding Care Facility
• Granada Hills Care Homes
• Granada Hills Charter
• Granada Hills Dental Group
• Granada Hills Detox Center, Inc.
• Granada Hills Home Health Care Inc
• Granada Hills Optometry Center
• Granada Hills Physical Therapy & Rehab, Inc.

• Skilled Nursing Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.